JESSICA BROADHEAD CRNA NPI 1962114330

NPI Information

  • NPI: 1962114330
  • Provider Name: JESSICA BROADHEAD, CRNA
  • Classification: Nurse Anesthetist, Certified Registered - 367500000X
  • Entity Type: Individual
  • Address: 4502 MEDICAL DR
    SAN ANTONIO, TX
    ZIP 78229
  • Phone: (210) 567-4500

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NPI Details

Jessica Broadhead, CRNA is a nurse anesthetist certified registered in San Antonio, TX with 4 years of experience. The provider is (1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition. Jessica Broadhead, CRNA NPI is 1962114330. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

4502 MEDICAL DR
SAN ANTONIO, TX
ZIP 78229-402
Phone: (210) 567-4500

The enumeration date for this NPI number is 12/16/2022 and was last updated on 3/14/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1163W00000XRegistered Nurse1090647TEXASNo
2367500000XNurse Anesthetist, Certified Registered1090647TEXASYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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